Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-04-15-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210673
DEA: 042640F4
EFIS: 0400020132
COOP: 042308A3
DIST-CO-RTE-PM04-SON--
Award Date08/08/2019
Closeout Date02/16/2024
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date04/15/2021 Sample Unique Key19
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing04/26/2021
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 Cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byHarry Last name of sampler or witnessed bySuryantoro
Title of samplerASR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Transportation Laboratory (TL) Number222504
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRoute 101/116 Separation 04 N Corona Rd

Material Information

Material TypeConcrete The concrete mix design number4700
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected692251
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-15-19-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMM, CT HQ - Sacramento Concrete Testing Laboratory05/13/2021MM
Yes
05/13/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-04-15-19-1 ASTM C39-17a (Verified)